DIANE M BONSELAAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194472

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BONSELAAR

Prefix

Business Name

DIANE M BONSELAAR

Original Issue Date

09/24/2009

Effective Date

09/24/2009

Expiration Date

03/31/2010

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010